Is my testicle functional?

Nov 20, 2012

I had surgery in March 2011 on one side of my testicles and the wound did not heal quickly. I keep thinking the testicle is non-functional as I feel a slight pain in the groin and left thigh when I release semen.

 Dear Doctor, 

I had surgery in March 2011 on one side of my testicles and the wound did not heal quickly. I keep thinking the testicle is non-functional as I feel a slight pain in the groin and left thigh when I release semen.

My erection is strong though my libido has reduced. I have not had sex since the surgery, but laboratory tests show I have a normal sperm count.
 
I am worried that one day the condition may reoccur because I have failed to understand why it happened in the first place and I do not want to go through that experience again. I am scared that in future I may be prone to some serious abnormalities in that area like testicular cancer, premature ejaculation, erectile dysfunction or urinary problems.
 
I am also worried that I may not be able to keep up with my future partner’s sexual needs once I get married, let alone satisfy her in bed. 
Wanya
 
ADear Wanya,
You should not be worried. I suppose you are saying you had what is commonly known as hydrolectomy, a surgical procedure to remove a hydrocele. 
 
A hydrocele is a collection of fluid in the casing that holds the testes. A hydrocelectomy is done to ease pain or the reoccurrence of a hydrocele. Usually, a hydrocele is not painful, and as it grows, the scrotum gets larger, but does not damage the testes. 
 
A hydrocele can affect both children and adults. In children, the condition is caused by a failure of the processus vaginalis (a sac accompanying each testicle) to close. Surgery is not necessary until after two years of age because the processus vaginalis usually closes by itself. 
 
In adults, hydroceles develop slowly, mostly because of a blocked lymphatic flow. Hydroceles could also develop after infection, injury, or cancerous tumours. Hydroceles can reoccur, though in rare instances.
 
After treatment of a hydrocele, a patient is able to resume most activities within seven to 10 days, although lifting heavy objects and sexual activity may be delayed for up to six weeks. So do not be worried. But see a surgeon for examination.
 

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